Is healthcare hiring the only source of private-sector job growth?
Core argument: U.S. healthcare added about 437,000 jobs in January from a year earlier and the allied social-assistance sector, which includes home health aides, added about 321,000, while all other private-sector jobs combined shrank over the past 12 months.
The Labor Department’s broad revisions lowered previous estimates of how many jobs the economy added in the past two calendar years, spanning the end of Joe Biden’s term and President Trump’s first year back in office. The revisions took an especially big bite out of previous tallies for construction, manufacturing, and retail jobs in 2025. Compared with prior numbers, the net change in those sectors last year dropped by a combined 115,000 jobs. Hiring in the healthcare sector is the big story of the U.S. labor market. The industry added about 437,000 jobs in January from a year earlier, while the closely allied social-assistance sector—which includes jobs such as home health aides—added about 321,000. These roles buoyed the job market over the past 12 months on their own; all other private-sector jobs combined have shrunk. Beyond the private sector, there were big losses in government jobs following Trump’s federal-workforce cuts.



